Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $151.36	Professional		$81.28	$117.49	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $194.98	Professional		$158.49	$158.49	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $181.97 / $371.54	Facility		$19.95	$181.97	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $11.48 / $162.18	Professional		$5.75	$11.48	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $13.80 / $162.18	Professional		$4.68	$13.80	$162.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83